Item | DT | Kard | Konf | Beschreibung | Label |
---|
| | | | | (Arztmeldung6IfSG) |
| @classCode
|
| | 0 .. 1 | F | DOCCLIN |
| @moodCode
|
| | 0 .. 1 | F | EVN |
Eingefügt von 1.2.276.0.76.10.90002 CDA realmCode (DYNAMIC) 1..1 Notwendig |
| hl7:realmCode
|
| CS | 1 .. 1 | M | | CDArealmCode |
| | @code
|
| cs | 1 .. 1 | R | |
| CONF | |
| Beispiel | <realmCode code="DE"/>
|
Eingefügt von 1.2.276.0.76.10.90003 CDA typeId (DYNAMIC) 1..1 Notwendig |
| hl7:typeId
|
| II | 1 .. 1 | M | | CDAtypeId |
| | @extension
|
| | 1 .. 1 | F | POCD_HD000040 |
| | @root
|
| | 1 .. 1 | F | 2.16.840.1.113883.1.3 |
| hl7:templateId
|
| II | 1 .. 1 | M | TemplateId für Arztmeldung §6 IfSG | (Arztmeldung6IfSG) |
| | @root
|
| | 1 .. 1 | F | 1.2.276.0.76.10.1010 |
| hl7:code
|
| CE | 1 .. 1 | M | | (Arztmeldung6IfSG) |
| | @code
|
| | 1 .. 1 | F | 34782-3 |
| | @codeSystem
|
| | 1 .. 1 | F | 2.16.840.1.113883.6.1 (LOINC) |
| Beispiel | <code code="34782-3" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Infectious disease Note"/>
|
| hl7:title
|
| ST | 1 .. 1 | M | Dokumententitel. Dieses Element enthält den für den lesenden Dokumentempfänger gedachten Titel. | (Arztmeldung6IfSG) |
| CONF | Elementinhalt muss "Meldung gemäß IfSG" sein |
|
Eingefügt von 1.2.276.0.76.10.90006 CDA effectiveTime (DYNAMIC) 1..1 Notwendig |
| hl7:effectiveTime
|
| TS.DATETIME.MIN | 1 .. 1 | M | | (Arztmeldung6IfSG) |
| hl7:confidentialityCode
|
| CE | 1 .. 1 | M | Bei diesen Informationen handelt es sich um sehr vertrauliche Daten, so dass die Vertauchlichkeit auf “very restricted” zu setzen ist | (Arztmeldung6IfSG) |
| | @code
|
| | 1 .. 1 | F | V |
| | @codeSystem
|
| | 1 .. 1 | F | 2.16.840.1.113883.5.25 (Confidentialty (HL7)) |
Eingefügt von 1.2.276.0.76.10.90008 CDA languageCode (DYNAMIC) 1..1 Notwendig |
| hl7:languageCode
|
| CS.LANG | 1 .. 1 | M | | (Arztmeldung6IfSG) |
Eingefügt von 1.2.276.0.76.10.2006 CDA recordTarget Meldepflichtige Krankheiten (DYNAMIC) 1..1 Notwendig |
| hl7:recordTarget
|
| | 1 .. 1 | M | | hrtnd |
| | @typeCode
|
| | 0 .. 1 | F | RCT |
| | @contextControlCode
|
| | 0 .. 1 | F | OP |
| Beispiel | <recordTarget typeCode="RCT" contextControlCode="OP"> <patientRole classCode="PAT"> <!-- ... --> </patientRole></recordTarget> |
| | hl7:patientRole
|
| | 1 .. 1 | | | hrtnd |
| | 0 .. 1 | F | PAT |
| Beispiel | <patientRole classCode="PAT"> <id extension="186245" root="1.2.276.0.76.3.1.139.3.871"/> <patient classCode="PSN" determinerCode="INSTANCE"> <!-- ... --> </patient></patientRole> |
| II | 1 .. * | | | hrtnd |
| Beispiel | <id extension="6245" root="2.16.840.1.113883.3.933"/> <id extension="1543627549" root="1.2.276.0.76.4.1"/>
|
| AD | 1 .. * | | Adresse des Patienten | hrtnd |
| Beispiel | <addr use="HP"> <streetName>Dorfstraße</streetName> <houseNumber>54</houseNumber> <postalCode>51371</postalCode> <city>Leverkusen</city></addr> |
| TEL | 0 .. * | | Kontaktdaten des Patienten | hrtnd |
| Beispiel | <telecom use="H" value="tel:+49.30.140400"/> <telecom use="MC" value="tel:+49.221.1234567"/> <telecom value="mailto:herberthannes.mustermann@provider.de"/>
|
| | 0 .. 1 | | | hrtnd |
| | 0 .. 1 | F | PSN |
| | 0 .. 1 | F | INSTANCE |
| Beispiel | <patient classCode="PSN" determinerCode="INSTANCE"> <name> <!-- ... --> </name> <administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.5.1"/> <birthTime value="19541223"/> </patient> |
| PN | 1 .. 1 | M | | hrtnd |
| Beispiel | <name> <given>Johannes</given> <family>Tremener</family></name> |
| | | | hl7:administrativeGenderCode
|
| CE | 1 .. 1 | | Geschlecht (administrativ) des Patienten | hrtnd |
| CONF | Der Wert von @code muss gewählt werden aus dem Value Set 2.16.840.1.113883.1.11.1 AdministrativeGender (DYNAMIC) |
|
| Beispiel | <administrativeGenderCode code="M" codeSystem="2.16.840.1.113883.5.1"/>
|
| TS.DATE.MIN | 1 .. 1 | | Geburtsdatum des Patienten | hrtnd |
| Beispiel | <birthTime value="19491224"/>
|
Eingefügt von 1.2.276.0.76.10.2009 CDA author Person Meldepflichtige Krankheiten (DYNAMIC) 1..1 Notwendig |
| hl7:author
|
| | 1 .. 1 | M | | hautnd |
| | @typeCode
|
| | 0 .. 1 | F | AUT |
| | @contextControlCode
|
| | 0 .. 1 | F | OP |
| Beispiel | <author typeCode="AUT" contextControlCode="OP"> <time value="201306101654"/> <assignedAuthor classCode="ASSIGNED"> <!-- ... --> </assignedAuthor></author> |
| | hl7:functionCode
|
| CE | 0 .. 1 | | | hautnd |
| | hl7:time
|
| TS.DATE.MIN | 1 .. 1 | | | hautnd |
| | hl7:assignedAuthor
|
| | 1 .. 1 | | | hautnd |
| | 0 .. 1 | F | ASSIGNED |
| II | 1 .. * | | | hautnd |
| TEL | 0 .. * | | | hautnd |
| | 1 .. 1 | M | | hautnd |
Eingefügt von 1.2.276.0.76.10.90010 CDA Person Elements (DYNAMIC) .. |
| | 0 .. 1 | F | PSN |
| | 0 .. 1 | F | INSTANCE |
| PN | 1 .. 1 | | | hautnd |
| | | hl7:representedOrganization
|
| | 1 .. 1 | M | | hautnd |
| | 0 .. 1 | F | ORG |
| | 0 .. 1 | F | INSTANCE |
| Beispiel | <representedOrganization classCode="ORG" determinerCode="INSTANCE"> <name> <!-- ... --> </name></representedOrganization> |
| II | 0 .. * | | | hautnd |
| ON | 1 .. 1 | M | | hautnd |
| TEL | 1 .. * | R | | hautnd |
| AD | 1 .. 1 | R | | hautnd |
Eingefügt von 1.2.276.0.76.10.2004 CDA custodian (DYNAMIC) 1..1 Notwendig |
| hl7:custodian
|
| | 1 .. 1 | M | | (Arztmeldung6IfSG) |
| | @typeCode
|
| | 0 .. 1 | F | CST |
| Beispiel | <custodian typeCode="CST"> <assignedCustodian classCode="ASSIGNED"> <representedCustodianOrganization classCode="ORG" determinerCode="INSTANCE"> <!-- ... --> </representedCustodianOrganization> </assignedCustodian></custodian> |
| | hl7:assignedCustodian
|
| | 1 .. 1 | M | | (Arztmeldung6IfSG) |
| | 0 .. 1 | F | ASSIGNED |
| | | hl7:representedCustodianOrganization
|
| | 1 .. 1 | M | | (Arztmeldung6IfSG) |
| | 0 .. 1 | F | ORG |
| | 0 .. 1 | F | INSTANCE |
| II | 1 .. 1 | | | (Arztmeldung6IfSG) |
| ON | 1 .. 1 | M | | (Arztmeldung6IfSG) |
| TEL | 0 .. * | | | (Arztmeldung6IfSG) |
| AD | 0 .. 1 | | | (Arztmeldung6IfSG) |
Eingefügt von 1.2.276.0.76.10.2010 CDA informationRecipient Meldepflichtige Krankheiten (DYNAMIC) 1..1 Notwendig |
| hl7:informationRecipient
|
| | 1 .. 1 | M | | hirnd |
| | @typeCode
|
| cs | 1 .. 1 | R | |
| CONF | @typeCode muss "PRCP" sein | oder | @typeCode muss "TRC" sein |
|
| | hl7:intendedRecipient
|
| | 1 .. 1 | M | | hirnd |
| II | 0 .. * | | | hirnd |
| | 1 .. 1 | M | | hirnd |
Eingefügt von 1.2.276.0.76.10.90011 CDA Organization Elements (DYNAMIC) .. |
| | 0 .. 1 | F | ORG |
| | 0 .. 1 | F | INSTANCE |
| II | 0 .. * | | | hirnd |
| ON | 1 .. 1 | | | hirnd |
| TEL | 0 .. * | | | hirnd |
| AD | 0 .. 1 | | | hirnd |
| hl7:component
|
| | | | | (Arztmeldung6IfSG) |
| | @typeCode
|
| | 0 .. 1 | F | COMP |
| | @contextConductionInd
|
| | 0 .. 1 | F | true |
| Beispiel | <!-- now for the study results: CDA body --> <component typeCode="COMP" contextConductionInd="true"> <!-- ... --> </component> |
| | hl7:structuredBody
|
| | | | | (Arztmeldung6IfSG) |
| | 0 .. 1 | F | DOCBODY |
| | 0 .. 1 | F | EVN |
| Beispiel | <structuredBody classCode="DOCBODY" moodCode="EVN"> <!-- ... --> </structuredBody> |
| | 0 .. 1 | | | (Arztmeldung6IfSG) |
| | 0 .. 1 | F | COMP |
| | 0 .. 1 | F | true |
| Beinhaltet | 1.2.276.0.76.10.3013 Diagnose Section Notifiable Diseases (DYNAMIC) |
| | 0 .. * | | | (Arztmeldung6IfSG) |
| | 0 .. 1 | F | COMP |
| | 0 .. 1 | F | true |
| Beinhaltet | 1.2.276.0.76.10.3014 Summary Of Death Section (DYNAMIC) |
| | 0 .. * | | | (Arztmeldung6IfSG) |
| | 0 .. 1 | F | COMP |
| | 0 .. 1 | F | true |
| Beinhaltet | 1.2.276.0.76.10.3015 Annotation Comment Section (DYNAMIC) |
| | 0 .. * | | | (Arztmeldung6IfSG) |
| | 0 .. 1 | F | COMP |
| | 0 .. 1 | F | true |
| Beinhaltet | 1.2.276.0.76.10.3016 Care process or plan Section (DYNAMIC) |
| | 0 .. * | | | (Arztmeldung6IfSG) |
| | 0 .. 1 | F | COMP |
| | 0 .. 1 | F | true |
| Beinhaltet | 1.2.276.0.76.10.3017 Social History Section (DYNAMIC) |
| | 0 .. * | | | (Arztmeldung6IfSG) |
| | 0 .. 1 | F | COMP |
| | 0 .. 1 | F | true |
| Beinhaltet | 1.2.276.0.76.10.3012 Verabreichte Impfungen (DYNAMIC) |
| | 0 .. * | | | (Arztmeldung6IfSG) |
| | 0 .. 1 | F | COMP |
| | 0 .. 1 | F | true |
| Beinhaltet | 1.2.276.0.76.10.3018 Exposition Section (DYNAMIC) |
| | 0 .. * | | | (Arztmeldung6IfSG) |
| | 0 .. 1 | F | COMP |
| | 0 .. 1 | F | true |
| Beinhaltet | 1.2.276.0.76.10.3019 History Of Donation Section (DYNAMIC) |
| | 0 .. * | | | (Arztmeldung6IfSG) |
| | 0 .. 1 | F | COMP |
| | 0 .. 1 | F | true |
| Beinhaltet | 1.2.276.0.76.10.3020 Performing Laboratory Section (DYNAMIC) |